Does the treatment of nodular thyroid cysts require surgical treatment?

Nodular goiter is a disease that poses a particularly serious threat to patients. This disease must be taken seriously. If it is not effectively treated, it will develop rapidly and may even become cancerous. Therefore, many patients want to know specifically whether surgical treatment is required for the treatment of nodular goiter. In order for you to understand this as soon as possible, please see the answer below.

Question:

Thyroid color ultrasound results: A low-echo nodule was found in the left thyroid lobe, approximately (0.64)×(0.47) cm in size, with unclear edges and dot-like echoes inside. The nodule was surrounded by blood vessels. Multiple circular anechoic areas were found in the right thyroid lobe, the largest of which was (0.27)×(0.22) cm. The echo was enhanced posteriorly, and no abnormal blood flow was observed. An isoechoic nodule was found in the right lobe, measuring approximately (0.65) x (0.33) cm, with blood flowing around it. Examination revealed bilobed thyroid nodules and right lobe thyroid cysts (multiple). Could you please help me see if the result requires surgery? Thank you

answer:

1. The incidence of thyroid nodules and cysts is high, and the detection rate by B-ultrasound examination can reach 30-70%. Most of them are benign, so no surgical treatment is required, and regular check-ups are sufficient. Surgery is only considered when ultrasound suggests the possibility of malignancy, or the nodule is large and affects the appearance, or when there is concomitant hyperthyroidism.

2. Since many people lack knowledge about thyroid nodules, once a nodule is found by ultrasound, they become frightened and always want to get rid of it. Therefore, the rate of unnecessary surgery for thyroid nodules in China is extremely high.

3. Current domestic diagnosis and treatment standards do not recommend non-surgical methods such as radiofrequency to treat thyroid nodules. However, if the cyst is larger, puncture and fluid extraction can be considered.

The above gives a detailed introduction to whether surgical treatment is required for the treatment of nodular goiter. For such a disease, you should choose whether it can be treated surgically based on your own condition. Therefore, after understanding the above content, you should consult an experienced doctor and then decide whether to undergo surgery. This is the safest treatment method.